Job Description
Responsibilities
- Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and ICD-10 PCS procedure codes, leading to the assignment of the correct Medicare Severity - Diagnosis Related Group (MS-DRG) or All Patient Refined Diagnosis Related Group (APR-DRG)
- Correctly abstract required data per facility specifications
- Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and as a team, ensure timely, compliant processing of inpatient accounts through the billing system
- Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators established for 3M 360 or for eCAC
- Remain abreast of current Centers for Medicare and Medicaid Services (CMS) requirements as well as Correct Coding Initiative (CCI) edits, Hospital Acquired Conditions (HAC's) and when applicable, National Coverage Det...